Medicaid Payment Analytics Consultant – Remote

UnitedHealth Group; United States; Remote; USD 92,000 - 164,000; Full time

Job summary

UnitedHealth Group is seeking a Health Data Analytics Consultant to support Medicaid data and policy work for CMS Innovation Center payment models, including the LEAD model.

The on‑the‑ground role involves Medicaid data (TAF/T-MSIS), translating policy into data specifications, code, analyses, and operational outputs, with collaboration across senior analysts and project leadership. Remote work option available nationwide within the U.S.

Qualifications

• 3+ years of experience working with healthcare data in a consulting, research, government, or business environment.
• 1+ years of direct experience working with Medicaid data, including T-MSIS.
• Experience conducting quantitative analysis using healthcare claims and enrollment data.
• Experience translating business, policy, or program requirements into analytic specifications.
• Understanding of Medicaid eligibility, enrollment, claims, and encounter data.
• Familiarity with Medicaid payment and delivery systems, including managed care and fee-for-service environments.
• Proficiency programming in SQL.
• Proven excellent oral and written communication skills and a focus on meeting deadlines.
• Demonstrated attention to detail and commitment to producing accurate, high-quality work.

Responsibilities

• Conduct hands-on analysis of Medicaid data to support payment model implementation and operations.
• Translate policy and methodology into data specifications, business rules, and analytic code.
• Develop, test, and maintain SQL code to build analytic files, define populations, and produce model outputs.
• Use Python and other analytic tools to support data processing, analysis, and quality assurance.
• Support attribution, payment calculation, quality measurement, and other operational methodologies.
• Assess Medicaid data quality and differences across states and delivery systems.
• Analyze Medicaid claims, encounter, enrollment, provider data to support client needs.
• Develop and maintain documentation of specifications, methodologies, code, assumptions, and QC procedures.
• Perform quality assurance reviews and validation checks on analytic outputs.
• Prepare tables, reports, presentations, and other materials for technical and non-technical audiences.
• Work effectively with policy, operations, and analytic staff as a project team.

Skills

Healthcare data analysis

Medicaid data experience

SQL proficiency

Python programming

Policy translation

Attention to detail

Tools

SQL

Snowflake

Databricks

Python

Job description

UnitedHealth Group is seeking a Health Data Analytics Consultant to support Medicaid data and policy work for CMS Innovation Center payment models, including the LEAD model.

The on‑the‑ground role involves Medicaid data (TAF/T-MSIS), translating policy into data specifications, code, analyses, and operational outputs, with collaboration across senior analysts and project leadership. Remote work option available nationwide within the U.S.